Biomedical subjects

H Stinus

Publications and source records attributed to H Stinus.

6 recordsLinked to original sources

PubMed2005

[Inserts for foot deformities].

Inserts are orthopedic aids in the treatment of foot disorders that result from changes of the static or dynamic situation. Provision of appropriate orthopedic devices can relieve the pain caused by forefoot deformities either in lieu of surgical intervention or in rare cases also following surgical treatment to improve the symptoms of residual pain.Available materials provide support, padding, and cushioning. Inserts are custom-made to measure and/or based on a plaster impression. Determining the indication, prescribing the inlay, and checking the orthosis are the tasks of the physician. One treatment option for relieving the pain of forefoot deformities consists in conservative therapy with an insert combining features of padding and support as well as adjusting a ready-made shoe. The shoe and inlay should constitute a functional unit since often the optimal effect is only achieved with a combination of insert and orthopedic adjustment of the ready-made shoe.

Foot Deformities↗

PubMed1999

[Technical orthopedic therapy of diabetic foot].

Prophylaxis and therapy of lesions of the diabetic foot requires a therapy adapted to the clinical picture. Depending on the seriousness and expression of the diabetic foot syndrome, the provision of orthopedic shoes can be carried out by means of adaptations of shoes of normal manufacture, by means of soft foam-rubber inlays or diabetes-adapted foot beds, support shoes, orthopedic made-to-order shoes, orthopedic inlays, and ortheses. The goal of technical orthopedic care is to avoid ulcers or at least aid healing of existing ulcers, in order to halve the rate of amputations according to the declaration of St. Vincent.

Diabetic Foot↗

PubMed1998

[Injury risk of competitive, handicapped cross-country skiers in training nd competition].

Injuries caused by cross country skiing have been poorly investigated in handicapped athletes. The dynamic sliding shape of motion makes this sport to a suitable discipline for people with a deficit of locomotion. Visual handicapped people with a guide are able to improve their motoric skills, co-ordination, orientation and body self-consciousness in the track. Since handicapped athletes are performing in international competitions the training intensity to fulfill the requirements, but also the risk of overstrain induced injuries got increased, like in other high-performance sports. Our study examined injuries and overuse syndromes of the German National Team Ski Nordic during the Paralympics in Tignes/ Albertville (1992). Lillehammer (1994) and the training period in preparation for the Paralympics in Nagano (March 1998). The incidence and kind of injuries in the competitive handicapped cross country skier was comparable with non-handicapped athletes, but the injury pattern was different.

Adult↗

PubMed1991

[Stress reactions--stress fracture of the upper femoral neck in endurance sports].

Stress reactions of the musculoskeletal system may be interpreted as possible precursors of stress fractures. Biological material, in contrast to artificial products, can react in numerous and complex ways. This can not only lead to a continual weakening of the tissue, but also to adaptation phenomena in response to overuse. The causes of such stress reactions are still unclear in many respects. For example, it is unknown to what extent a predisposition to these stress symptoms is created by mechanical stress alone or whether other factors such as physical condition, nutrition or even hormone balance come into play. Early diagnosis considerably reduces the healing process and, the later the diagnosis of the stress reaction, the more drawn out is the healing process and the extent of the athlete's absence from training. In this connection may be discussed whether the stress reaction can be the represent as the precursor of the stress fracture. In light of the need for taking special care in obtaining anamnestic data and determining the predisposition of an athlete, it appears to be justified to perform whole body bone scanning in the initial stages and particularly after an innocuous radiological finding. To what extent more current methods (e. g. MRI) can be applied without exposing the athlete to undue radiation cannot be conclusively judged at present. The treatment of a stress reaction should, at least at the beginning, be the same as for a diagnosed stress fracture.

Adult↗

PubMedDate not supplied

[Biomechanics and evaluation of the microprocessor-controlled C-Leg exoprosthesis knee joint].

QUESTION: Also in the field of technical orthopedics, electronics and computer technology are being is used more and more often. This paper describes a microprocessor-controlled prosthetic knee joint with swing phase control and stance phase stability, the so-called C-Leg. The function of this electronic knee joint is explained. Prosthetic treatment using the C-Leg is compared with traditional prosthetic knee joints. METHOD: 15 patients using the C-Leg have been observed over periods of 6 to 14 months. The treating prosthetists have given an assessment regarding the function and the improvements in comparison with the previously fitted knee joints. The patients, too, were asked to compare function and comfort of the new prosthetic fitting with the previous one. RESULTS: Both, prosthetists and patients marked this new type of microprocessor-controlled knee joint in nearly all points with "very good" and described a clear improvement to the previous, purely mechanical prosthetic fitting. CONCLUSIONS: Obviously, this new technology seems to be a milestone in prosthetic knee joint fitting, in order to clearly improve the prosthetic fitting of transfemoral amputees and thus their quality of life, especially of people who have several disabilities.

Adult↗

PubMedDate not supplied

[Epidemiological data on lower leg amputations. A study of 1487 amputations].

The examination is based on the operative amputee statistics at the university hospital Göttingen between 1983 and 1992 as well as the prosthetic treatment statistics at the university hospital for Technological Orthopedics and Rehabilitation (TO Münster) between January 1991 and March 1993. The comparison of epidemiologic data from both hospitals allow to give statements concerning etiology, level of amputation and age distribution. With a percentage of 78.6 dysvascular diseases were the principal cause for amputations at the Göttingen hospital, which is 10% less than described in modern literature. The respective percentage was 43% in Münster, followed by a 35.9% share for amputations caused by trauma. Our results demonstrate the relevance of amputations which are not due to dysvascular diseases in prosthetic treatment.

Adolescent↗